Individual provider Active NPI

Breezy Michelle Mendoza, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1679016885
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP9650 Issued in AZ
Practice address
11851 N 51St Ave Ste F140
Glendale, AZ 85304-2847
Phone
(480) 882-4545
Fax
(623) 242-1314
NPI assigned
Nov 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61195153 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1160775 TX
Nurse Practitioner 363L00000X C-APN.0100289-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP9650 AZ Primary

Addresses

Primary practice location

11851 N 51St Ave Ste F140
Glendale, AZ 85304-2847

Mailing address

7500 N Dreamy Draw Dr Ste 145
Phoenix, AZ 85020-4668
Phone (480) 882-4545

Other identifiers 1

IdentifierTypeStateIssuer
219432MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161221000666 AZ Practitioner - Nurse Practitioner 0143501650 Reassigns benefits to 2 organizations
I20211022002090 WA Practitioner - Nurse Practitioner 0143501650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recovery Innovations IncGroup PAC ID 1456500628, 54 clinicians

Practice addresses (Care Compare)

11361 N 99TH Ave
Suite 400And402
Peoria, AZ 85345-5470
Phone (602) 636-4605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-APN.0100289-C-NPCOMDNurse Practitioner
AP9650AZMDPsychiatric/Mental Health Nurse Practitioner
1160775TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tesai,PLC CurrentSince Jul 11, 2022 Accepting new patients
Recovery Innovations, Inc CurrentSince May 1, 2025 Accepting new patients
Multicare Health System CurrentSince Sep 8, 2021 Accepting new patients
Multicare Health System CurrentSince Sep 8, 2021 Accepting new patients
Recovery Innovations, Inc CurrentSince May 1, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Breezy Mendoza NP LLC Nurse Practitioner PastSince May 1, 2024 Accepting new patients

Locations

9139 W Thunderbird Rd
Ste 265
Peoria, AZ 85381
Phone (602) 777-7011

11361 N 99th Ave
Ste 107
Peoria, AZ 85345
Phone (602) 636-4605

2701 N 16th St
Ste 316
Phoenix, AZ 85006

926 E McDowell Rd
Ste 203
Phoenix, AZ 85006
Phone (623) 439-9494

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: bmendoza590749@direct.multicare.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1679016885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204668",
            "telephone_number": "480-882-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE STE F140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042847",
            "telephone_number": "480-882-4545",
            "fax_number": "623-242-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "BREEZY",
        "middle_name": "MICHELLE",
        "credential": "PMHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61195153",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1160775",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0100289-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP9650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219432",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.